Cardiovascular & Thoracic Surgery This is an OPML file. It can be used to export all the MedWorm RSS feeds on this topic into your personal RSS reader (usually you have to save this file to your own computer before clicking on an Import OPML command in your own feed reader to upload the file which will then import all the feeds) or it can be used by webmasters to integrate MedWorm feeds with their own website. This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 35.

2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, and the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons
Jeffrey L. Anderson, MD, FACC, FAHA, Chair Jonathan L. Halperin, MD, FACC, FAHA, Chair-Elect
Source: Journal of the American College of Cardiology - November 22, 2012 Category: Cardiology Authors: Stephan D. Fihn, Julius M. Gardin, Jonathan Abrams, Kathleen Berra, James C. Blankenship, Apostolos P. Dallas, Pamela S. Douglas, JoAnne M. Foody, Thomas C. Gerber, Alan L. Hinderliter, Spencer B. King, Paul D. Kligfield, Harlan M. Krumholz, Raymond Y.K. Tags: PRACTICE GUIDELINE Source Type: research

2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease: Executive Summary: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, and the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons
Jeffrey L. Anderson, MD, FACC, FAHA, Chair Jonathan L. Halperin, MD, FACC, FAHA, Chair-Elect
Source: Journal of the American College of Cardiology - November 22, 2012 Category: Cardiology Authors: Stephan D. Fihn, Julius M. Gardin, Jonathan Abrams, Kathleen Berra, James C. Blankenship, Apostolos P. Dallas, Pamela S. Douglas, JoAnne M. Foody, Thomas C. Gerber, Alan L. Hinderliter, Spencer B. King, Paul D. Kligfield, Harlan M. Krumholz, Raymond Y.K. Tags: PRACTICE GUIDELINE Source Type: research

Results of the Cox-Maze III/IV procedure in patients over 75 years old who present for cardiac surgery with a history of atrial fibrillation.
CONCLUSION: Addition of the Cox-Maze III/IV procedure in patients ≥75 years may add to the complexity of the surgical procedure, but does not increase the operative risk. Age should not be the only discriminating factor when considering the Cox-Maze III/IV procedure for patients aged ≥75 years who present for cardiac surgery while experiencing atrial fibrillation. PMID: 23172375 [PubMed - as supplied by publisher]
Source: The Journal of Cardiovascular Surgery - November 22, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Ad N, Henry L, Hunt S, Holmes SD, Halpin L Tags: J Cardiovasc Surg (Torino) Source Type: research

Females do not have increased risk of early or late mortality after isolated aortic valve replacement: results from a multi-institutional Australian study.
CONCLUSION: Female patients undergoing isolated AVR do not have an increased risk of early and late mortality. Further investigation is required to delineate the impact of gender on early and late outcomes following AVR. PMID: 23172376 [PubMed - as supplied by publisher]
Source: The Journal of Cardiovascular Surgery - November 22, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Saxena A, Dinh DT, Smith JA, Reid CM, Shardey GC, Newcomb AE Tags: J Cardiovasc Surg (Torino) Source Type: research

The use of N-terminal pro-brain natriuretic peptide as a predictor of atrial fibrillation after cardiac surgery.
CONCLUSION: An early Nt pro BNP at H0 or H4, respectively, and with thresholds of 353 and 307 pg/mL could predict the occurrence of the AF. In this case, a primary prevention could be envisaged. PMID: 23172377 [PubMed - as supplied by publisher]
Source: The Journal of Cardiovascular Surgery - November 22, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Kallel S, Jarrya A, Triki Z, Abdenadher M, Frikha J, Karoui A Tags: J Cardiovasc Surg (Torino) Source Type: research

Salvage of Permanent Epicardial Lead Function by Conversion of a Bipolar to Unipolar Lead
We present a case of complete heart block after surgical correction of a congenital heart defect that required conversion of an axial bipolar lead to unipolar lead to avoid lead replacement. We review the options for repair and describe our approach to this patient. (J Card Surg 2012;27:771‐773)
Source: Journal of Cardiac Surgery - November 22, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Robert C Neely, Henry M Spotnitz Tags: Surgical Technique Source Type: research

Concomitant Tricuspid Valve Repair or Replacement During Left Ventricular Assist Device Implant Demonstrates Comparable Outcomes in the Long Term
Conclusion: TVrpr repair at the time of LVAD implant is effective in correcting TR even at the end of one year of follow‐up. The choice to repair or replace does not affect the clinical outcome. (J Card Surg 2012;27:760‐766)
Source: Journal of Cardiac Surgery - November 22, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Salil V. Deo, Tal Hasin, Salah E. Altarabsheh, Stephen H. McKellar, Ishan K. Shah, Lucian Durham III, John M. Stulak, Richard C. Daly, Soon J. Park, Lyle D. Joyce Tags: Original Article Source Type: research

Results for Surgical Correction of Complete Atrioventricular Septal Defect: Associations with Age, Surgical Era, and Technique
Conclusion: Our current results indicate that younger patient age and better preoperative CAVV functions were the main factors for a favorable outcome after surgical correction of CAVSD; and outcomes did not differ by the surgical technique. (J Card Surg 2012;27:745‐753)
Source: Journal of Cardiac Surgery - November 22, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Bugra Harmandar, Numan Ali Aydemir, Ali Riza Karaci, Ahmet Sasmazel, Turkay Saritas, Mehmet Salih Bilal, Ibrahim Yekeler Tags: Original Article Source Type: research

Transesophageal Echocardiographic Guidance of Percardiac Device Closure of Intracardiac Defects in Patients Weighing Less Than 10 kg
Conclusions: This initial success indicates that transesophageal echocardiographic guidance of percardiac device closure will aid in the treatment of intracardiac defects in selected patients weighing less than 10 kg with good early outcomes. (J Card Surg 2012;27:740‐744)
Source: Journal of Cardiac Surgery - November 22, 2012 Category: Cardiovascular & Thoracic Surgery Authors: TianLi Zhao, YiFeng Yang, XinHua Xu, Xin Wang, Ni Ying, Qin Wu, Vinesh Naikho, Nei Gao Tags: Original Article Source Type: research

Successful Long‐Term Management of Aneurysm‐Associated Chronic Disseminated Intravascular Coagulation with Low Molecular Weight Heparin
We present a case of aneurysm‐associated DIC successfully managed with low molecular weight heparin. (J Card Surg 2012;27:730‐735)
Source: Journal of Cardiac Surgery - November 22, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Julia H. Perry, Harold L. Lazar, Karen Quillen, J. Mark Sloan Tags: Case Reports Source Type: research

Interatrial Septal Bronchogenic Cyst Accompanied with TAPVC
Source: Journal of Cardiac Surgery - November 22, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Qingbao Li, Fang Liu, Jie Zi, Anbiao Wang Tags: Images in Cardiac Surgery Source Type: research

Giant Pericardial Lipoma Compressing the Right Atrium
Source: Journal of Cardiac Surgery - November 22, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Mariusz Kuśmierczyk, Anna Drohomirecka, Paweł Stachurski, Ilona Michałowska, Jacek Różański Tags: Images in Cardiac Surgery Source Type: research

Traumatic Myocardial Infarction Caused by Shotgun Bullet Injury
Source: Journal of Cardiac Surgery - November 22, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Masih Shafa, Shirvan Salaminia, Hamed Ghoddusi Johari Tags: Images in Cardiac Surgery Source Type: research

Coronary Artery Fistula Associated with Mitral Valve Endocarditis
We report a case of endocarditis secondary to a congenital coronary artery fistula arising from the right coronary artery and draining into the left ventricle. Vegetations were found on the mitral valve leaflet. The fistula was successfully treated with surgery, and the endocarditis, with antibiotic therapy. Surgical repair is the optimal treatment for coronary artery fistula, even in asymptomatic patients. (J Card Surg 2012;27:714‐715)
Source: Journal of Cardiac Surgery - November 22, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Meng Shi, Yiqing Wang, Liewen Pang, Jiechun Huang Tags: Images in Cardiac Surgery Source Type: research

Posterior Intercostal Hemorrhage Following Median Sternotomy
We report two cases of patients who underwent cardiac surgery and suffered from posterior intercostal artery bleeding. Both cases were treated by transcatheter arterial embolization. (J Card Surg 2012;27:701‐703)
Source: Journal of Cardiac Surgery - November 22, 2012 Category: Cardiovascular & Thoracic Surgery Authors: J. Soquet, I. Hysi, F. Juthier, A. Prat, A. Vincentelli Tags: Case Reports Source Type: research

Coronary Sinus Approach to Repair an Intracardiac Ventricular Pseudoaneurysm
Abstract A coronary sinus approach using a Gore‐Tex Patch was used to repair an intracardiac left ventricular pseudoaneurysm after a previous bioprosthetic mitral valve replacement. At follow‐up six months after surgery, echocardiography and a computed tomographic scan revealed almost complete obliteration of the pseudoaneurysm cavity. (J Card Surg 2012;27:692‐695)
Source: Journal of Cardiac Surgery - November 22, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Hong‐Wei Guo, Jian‐Ping Xu, Yi Chang, Hui Xiong Tags: Surgical Technique Source Type: research

On‐pump Transcatheter Aortic Valve Replacement in Patients with Poor Left Ventricular Function
We report two successful cases of TAVR on CPS in patients with low LV function and describe this technique. (J Card Surg 2012;27:686‐688)
Source: Journal of Cardiac Surgery - November 22, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Koichi Maeda, Toru Kuratani, Kei Torikai, Kazuo Shimamura, Yoshiki Sawa Tags: Surgical Technique Source Type: research

Prognostic Value of Pulmonary Hypertension in Patients Undergoing Surgery for Degenerative Mitral Valve Disease with Leaflet Prolapse
Conclusions: PH is an independent predictor of mortality during the initial three years following MVS. The majority of patients with PH demonstrated a reduction of preoperatively elevated PASP following surgery and the increased risk of mortality gradually decreased after three years. Our findings support early admission for mitral valve surgery before the occurrence of PH. (J Card Surg 2012;27:668‐675)
Source: Journal of Cardiac Surgery - November 22, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Shahab Nozohoor, Snejana Hyllén, Carl Meurling, Per Wierup, Johan Sjögren Tags: Original Article Source Type: research

Influence of Chronic Total Occlusions on Coronary Artery Bypass Graft Surgical Outcomes
Conclusion: CABG achieves high success in grafting epicardial coronary vessels with CTO; however, presence of long coronary CTO (>40 mm) is an independent predictor of post‐CABG survival. (J Card Surg 2012;27:662‐667)
Source: Journal of Cardiac Surgery - November 22, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Subhash Banerjee, Ryan G Master, Matthias Peltz, Bernice Willis, Atif Mohammed, Bertis B. Little, Michael J. DiMaio, Michael E. Jessen, Emmanouil S. Brilakis Tags: Original Article Source Type: research

Review of the key results from the Swedish Obese Subjects (SOS) trial: a prospective controlled intervention study of bariatric surgery
Abstract Obesity is a risk factor for diabetes, cardiovascular disease events, cancer and overall mortality. Weight loss may protect against these conditions, but robust evidence for this has been lacking. The Swedish Obese Subjects (SOS) study is the first long‐term, prospective, controlled trial to provide information on the effects of bariatric surgery on the incidence of these objective endpoints. The SOS study involved 2010 obese subjects who underwent bariatric surgery [gastric bypass (13%), banding (19%) and vertical banded gastroplasty (68%)] and 2037 contemporaneously matched obese control subjects receiving usu...
Source: Journal of Internal Medicine - November 21, 2012 Category: Internal Medicine Authors: Lars Sjöström Tags: Review Source Type: research

Pulse Oximetry Measurements in the Evaluation of Patients With Possible Thoracic Outlet Syndrome
Conclusions: Pulse oximetry produced objective confirmatory measurements, which support a hypothesis that hypoperfusion in the upper limb during provocative activities or exercise may cause disabling symptoms associated with nonspecific neurogenic TOS. This method may be a useful, noninvasive, rapid, and inexpensive clinical tool in the diagnosis of TOS, a condition frequently lacking in objective, confirmatory diagnostic data. Type of study/level of evidence: Diagnostic III.
Source: The Journal of Hand Surgery - November 21, 2012 Category: Surgery Authors: Richard M. Braun, Mark Rechnic, Kalpit N. Shah Tags: Scientific Articles Source Type: research

Treatment of stage I lung cancer in high-risk and inoperable patients: Comparison of prospective clinical trials using stereotactic body radiotherapy (RTOG 0236), sublobar resection (ACOSOG Z4032), and radiofrequency ablation (ACOSOG Z4033)
Conclusions: Among appropriately matched patients, no difference was seen in early morbidity between sublobar resection and stereotactic body radiotherapy. These results underscore the need for a randomized trial to delineate the relative survival benefit of each modality and to help stratify patients considered high risk.
Source: The Journal of Thoracic and Cardiovascular Surgery - November 21, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Traves Crabtree, Varun Puri, Robert Timmerman, Hiran Fernando, Jeffrey Bradley, Paul A. Decker, Rebecca Paulus, Joe B. Putnum, Damian E. Dupuy, Bryan Meyers Tags: General Thoracic Surgery Source Type: research

Intraoperative hyperthermic chemotherapy perfusion for malignant pleural mesothelioma: An in vitro evaluation
Objectives: Hyperthermic chemotherapy perfusion has been used in the treatment of both pleural and peritoneal mesothelioma without an extensive basic science foundation. Clinical data are limited with no prospective randomized trials to support the use of this potentially toxic therapy. We sought to generate basic scientific support for this clinical practice and to define the optimal conditions for use in future clinical trials.Methods: Growth of a variety of in vitro established cell lines, including a hyperthermia-sensitive Chinese hamster ovary (CHO)-K1 cell line, a normal lung fibroblast line (MRC-5), a lung cancer l...
Source: The Journal of Thoracic and Cardiovascular Surgery - November 21, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Robert B. Cameron, Dongmei Hou Tags: General Thoracic Surgery Source Type: research

Low Serum Magnesium and the Development of Atrial Fibrillation in the Community: The Framingham Heart Study.
CONCLUSIONS: Low serum magnesium is moderately associated with the development of AF in individuals without cardiovascular disease. Because hypomagnesemia is common in the general population, a link with AF may have potential clinical implications. Further studies are warranted to confirm our findings and elucidate the underlying mechanisms. PMID: 23172839 [PubMed - as supplied by publisher]
Source: Circulation - November 21, 2012 Category: Cardiology Authors: May Khan A, Lubitz SA, Sullivan LM, Sun JX, Levy D, Vasan RS, Magnani JW, Ellinor PT, Benjamin EJ, Wang TJ Tags: Circulation Source Type: research

Laparoscopic Excision of Gastric Mass Yields Intra-abdominal Esophageal Duplication Cyst.
Abstract A 69-year-old man with presumed solid gastric mass determined by computed tomography, endoscopic ultrasonography, and fine-needle aspiration underwent videoscopic excision of what resulted in a cystic structure consistent with intra-abdominal esophageal duplication cyst. Esophageal duplication cysts are rare congenital lesions that are difficult to diagnose. They seldom occur entirely below the diaphragm, and occurrence in adults is unusual. Only six such cases are reported in the literature. When diagnosis is made, treatment decisions are not always straight forward, although excision is frequently pursue...
Source: The Thoracic and Cardiovascular Surgeon - November 21, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Bhamidipati C, Smeds M, Dexter E, Kowalski M, Bazaz S Tags: Thorac Cardiovasc Surg Source Type: research

Clinical outcomes in real‐world patients with acute myocardial infarction receiving XIENCE V® everolimus‐eluting stents: One‐year results from the XIENCE V USA study
Conclusions:At 1 year, AMI patients treated with XIENCE V had low rates of ST, TLR, and TLF, similar to non‐AMI patients. Marked improvements in patients' health status in this subgroup were also demonstrated. © 2012 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - November 21, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Krishnankutty Sudhir, James B Hermiller, Srihari S. Naidu, Timothy D. Henry, Vivian W Mao, Weiying Zhao, Joanne M. Ferguson, Jin Wang, Lalitha Jonnavithula, Charles A. Simonton, David R Rutledge, Mitchell W Krucoff, Tags: Original Study Source Type: research

De novo fenestration of extra‐cardiac fontan goretex conduit assisted by inoue balloon
We report a 17 year old boy with failing Fontan circuit in whom fenestration was created, aided by an Inoue balloon. © 2012 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - November 21, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Saurabh Kumar Gupta, Sivasubramanian Ramakrishnan, Shyam S Kothari Tags: Case Report Source Type: research

Predictors and outcomes after transcatheter aortic valve implantation using different approaches according to the valve academic research consortium definitions
Conclusions: Comparable results were achieved with different devices and access routes in a heart team approach. Baseline and perioperative predictors of all‐cause mortality were identified, contributing to the refinement of patient and device selection criteria for TAVI. © 2012 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - November 21, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Moritz Seiffert, Renate Schnabel, Lenard Conradi, Patrick Diemert, Johannes Schirmer, Dietmar Koschyk, Matthias Linder, Jan F Kersten, Andrea Grosser, Sandra Wilde, Stefan Blankenberg, Hermann Reichenspurner, Stephan Baldus, Hendrik Treede Tags: Original Study Source Type: research

Cor‐triatriatum: An unusual cause of elevated pulmonary capillary wedge pressure in a child with tetralogy of fallot
Abstract The coexistence of cor triatriatum and tetralogy of Fallot (TOF) is rare. Preoperative identification of cor triatriatum may be difficult owing to reduced pulmonary blood flow in patients with TOF. However, it is imperative to identify this rare combination as failure to identify obstruction to pulmonary venous egress may result in persistent pulmonary venous hypertension postoperatively. The authors discuss hemodynamic aspects of this rare coexistence in a 14 month old child in whom pulmonary capillary wedge pressure (PCWP) was elevated despite right ventricular outflow obstruction. © 2012 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - November 21, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Saurabh Kumar Gupta, S Ramakrishnan, Shrenik Doshi Tags: Case Report Source Type: research

Redo of percutaneous renal denervation in a patient with recurrent resistant hypertension after primary treatment success
Abstract A 79‐year‐old patient was treated with percutaneous renal denervation (RDN) due to resistant arterial hypertension in the summer of 2010. After primary treatment success with a decrease of blood pressure from 170 / 100 mmHg to 130 / 80 mmHg 6 months post ablation, the blood pressure rose again at 12 months despite maintenance of the pharmacologic regimen and the decision was made to perform a second RDN procedure. Three months following the second RDN procedure blood pressure was lowered to 130 / 77 mmHg. © 2012 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - November 21, 2012 Category: Cardiovascular & Thoracic Surgery Authors: T. Lambert, A. Nahler, F. Leisch Tags: Case Report Source Type: research

Closure of tubular patent ductus arteriosus in infants with the amplatzer vascular plug II
Conclusion:It is our belief that the AVP II device can be a useful embolization device for DA's in this difficult patient population. © 2012 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - November 21, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Abby Gross, Jon P. Donnelly Tags: Interventional Round Source Type: research

Very late erosion of Amplatzer ASD closure device presenting as pericardial pain and effusion 8 years after placement
We report the case of a very late erosion of an Amplatzer septal occluder (ASO) device more than 8 years after implant, presenting without signs of cardiac tamponade. To date, this case represents the longest period between ASO device implantation and clinical presentation following erosion. The overall rate of device erosion remains low, and the majority reported so far have occurred early, but clinicians should remain alert to the possibility of very late erosion in patients with ASO devices. © 2012 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - November 21, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Will T Roberts, Jitendra Parmar, Thirumaran Rajathurai Tags: Case Report Source Type: research

Long term results of plaque excision combined with aggressive pharmacotherapy in high risk patients with advanced peripheral artery disease (save a leg registry)
Conclusions:SilverHawkTM Plaque Excision combined with aggressive pharmacotherapy in this presented high risk population is associated with promising long term outcomes which compare favorably with accepted standards of care. © 2012 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - November 21, 2012 Category: Cardiovascular & Thoracic Surgery Authors: R. Stefan Kiesz, Szymon L. Wiernek, Barbara K. Wiernek, Martin G. Radvany, Piotr P. Buszman, Radosław Szymański, Magda D. Konkolewska, Jack L. Martin, Paweł E. Buszman Tags: Original Studiy Source Type: research

Utility and feasibility of ultrasound guided access in patients with critical limb ischemia
Conclusion:US guided access is a feasible and safe procedure that can aid in accessing vascular conduits in patients with CLI. Applying this technique across the board in CLI patients decreases the risk of immediate complications and facilitates accessing tibial arteries. © 2012 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - November 21, 2012 Category: Cardiovascular & Thoracic Surgery Authors: J. A Mustapha, Fadi Saab, Larry Diaz, Barbara Karenko, Lance Richards, Theres Laeder, Carmen M. Heaney, Tony Das Tags: Original Study Source Type: research

Macroreentrant Atrial Tachycardia in Patients without Previous Atrial Surgery or Catheter Ablation: Clinical and Electrophysiological Characteristics of Scar‐Related Left Atrial Anterior Wall Reentry
Conclusion—Spontaneous LAAW scarring is an unusual cause of MRAT, showing activation patterns with a figure‐eight configuration. Radiofrequency CA is a feasible and effective treatment in such cases.
Source: Journal of Cardiovascular Electrophysiology - November 21, 2012 Category: Cardiology Authors: SEIJI FUKAMIZU, HARUMIZU SAKURADA, TAKEKUNI HAYASHI, RINTARO HOJO, KOTA KOMIYAMA, YASUHIRO TANABE, TAMOTSU TEJIMA, MITSUHIRO NISHIZAKI, YOUICHI KOBAYASHI, MASAYASU HIRAOKA Source Type: research

Early results after surgical treatment of left Ventricular Aneurysm
Conclusions: Both techniques (linear and patch) achieved good results with respect to mortality, functional status and survival. The choice of surgical technique should be adapted in each patient .The beating heart technique may to some extent relieve myocardial injury in patients undergoing SVR.
Source: Journal of Cardiothoracic Surgery - November 21, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Xisheng WangXuezhi HeYunqing MeiQiang JiJing FengJianzhi CaiYifeng SunShiliang Xie Source Type: research

Images in Cardiovascular Medicine: Caseous Calcification of the Mitral Annulus
A 78‐year‐old woman was admitted to our emergency department for subarachnoid hemorrhage. Since a month ago, she was taking warfarin after diagnosis, on transthoracic echocardiogram (TTE), of a suspected large atrial thrombus. The patient, referred to our institution for further investigation, presented asymptomatic; electrocardiogram showed sinus rhythm. TTE revealed an echo dense spherical mass located in the mitral periannular posterior region with moderate mitral regurgitation. Transesophageal echocardiography and cardiac computed tomography confirmed a calcified round mass (2.0 × 2.9 cm) with central areas of e...
Source: Echocardiography - November 21, 2012 Category: Cardiology Authors: Pietro Pugliatti, Maurizio Cusmà Piccione, Giorgio Ascenti, Antonino Germanò, Antonino Recupero, Giuseppe Oreto, Scipione Carerj Tags: Case Report Source Type: research

Effects of Fibrinogen Concentrate as First-line Therapy during Major Aortic Replacement Surgery: A Randomized, Placebo-controlled Trial
Conclusions: Hemostatic therapy with fibrinogen concentrate in patients undergoing aortic surgery significantly reduced the transfusion of allogeneic blood products. Larger multicenter studies are necessary to confirm the role of fibrinogen concentrate in the management of perioperative bleeding in patients with life-threatening coagulopathy.
Source: Anesthesiology - November 20, 2012 Category: Anesthesiology Tags: Perioperative Medicine Source Type: research

UK Lung Cancer Patients' Lives At Risk Due To Lack Of Specialist Care Say Experts
There are 'insufficient specialists' to serve the UK's multidisciplinary lung cancer teams (LCMDTs) - and some healthcare professionals still hold a 'pessimistic and outdated' view of what can be achieved for patients - says a new, national report published today (20 November) by leading lung cancer experts. According to the UK Lung Cancer Coalition (UKLCC), there are only around 70, specialist thoracic surgeons supporting over 200 LCMDTs; lung cancer nurses are overstretched; and many oncologists may not be fully up-to-date with the latest lung cancer management practices...
Source: Health News from Medical News Today - November 20, 2012 Category: Consumer Health News Tags: Lung Cancer Source Type: news

Abstract 620: Chronic Allium Bakeri Intake Alleviated Hypertension and Aortic Media Thickness in 2-Kidney, 1-Clip Rats. [Poster Session II]
Conclusion: Chronic intake of Allium bakeri, which can be eaten without heating, alleviated hypertension and aortic media thickness in rats with renovascular hypertension.
Source: Hypertension - November 20, 2012 Category: Cardiology Authors: Kitamura, S., Hashimoto, H., Segawa, Y., Kurihara, N. Tags: Poster Session II Source Type: research

Abstract 265: Chronic Treatment with Nebivolol Attenuates the Vascular Changes in the 2-Kidney, 1-Clip Model of Renovascular Hypertension [Poster Sesion I with Reception]
Nebivolol (Nebi) is a β-1 receptor antagonist with vasodilator and antioxidant properties. Matrix metalloproteinases (MMPs) are enzymes involved in cardiovascular remodeling, and MMP upregulation has been associated with increased reactive oxygen species (ROS). Because vascular remodeling is associated with increased ROS and MMPs, it is possible that Nebi reverses the increased MMP levels and vascular remodeling associated with 2K-1C hypertension through its antioxidant activity. Hypertension was induced in male Wistar rats by clipping the left renal artery. Six weeks after surgery, hypertensive and sham rats were tre...
Source: Hypertension - November 20, 2012 Category: Cardiology Authors: Ceron, C. S., Rizzi, E., Guimaraes, D. A., Martins-Oliveira, A., Gerlach, R. F., Tanus-Santos, J. Tags: Poster Sesion I with Reception Source Type: research

Abstract 236: Reduced Epigastric Artery Reactivity in a Non-Modulator Phenotype of Human Hypertension [Poster Sesion I with Reception]
In normal and modulator hypertensive individuals sodium intake modifies plasma levels and target tissue response to ANG II. This sodium-mediated modulation is defective in 25-30% of the hypertensive population, termed non-modulators. Non-modulators have insulin resistance (IR), abnormal renal function, polymorphisms in the renin-angiotensin-aldosterone system (RAAS) genes, increased tissue levels of ANG II particularly during liberal dietary sodium intake, and increased risk of cardiovascular (CV) damage. We hypothesized that the increased risk of CV damage in non-modulators reflects abnormalities in vascular function. Mal...
Source: Hypertension - November 20, 2012 Category: Cardiology Authors: Shafiq, Q., Reslan, O. M., Orgill, D. P., Williams, G. H., Khalil, R. A. Tags: Poster Sesion I with Reception Source Type: research

Abstract 17: Prolonged ER Stress Induced by Angiotensin II-Hypertension Contributes to Aortic Stiffening via an Increase in Pro-apoptotic and Pro-inflammatory Signaling Pathways [Oral Session II Concurrent A: Vascular Stiffness]
Aortic stiffening is an important predictor of negative cardiovascular outcomes and is associated with hypertension. Angiotensin II (Ang II) is a mediator of aortic stiffening via upregulation of pro-inflammatory and pro-apoptotic signaling pathways, however the mechanisms mediating this upregulation are unclear. Endoplasmic reticulum (ER) stress occurs during cardiovascular diseases, leads to upregulation of pro-inflammatory and pro-apoptotic pathways and can be induced by Ang II. We hypothesized that ER stress leads to vascular apoptosis and inflammation contributing to increased aortic stiffening during Ang II-induced h...
Source: Hypertension - November 20, 2012 Category: Cardiology Authors: Spitler, K. M., Webb, R. C. Tags: Oral Session II Concurrent A: Vascular Stiffness Source Type: research

Annular Rupture Leading to Fatal Complications in an Elderly Patient with Calcified Aortic and Mitral Annulus Undergoing Transapical Aortic Valve Implantation.
Abstract This case illustrates the awareness that must be taken of the high morphological risk due to the calcifications of both, the aortic and mitral annulus in elderly patients when performing transapical aortic valve implantation. In an 86-year-old, multimorbid woman (logistic EuroSCORE = 27%) with symptomatic aortic stenosis (annular diameter = 23.4 mm) and severe mitral annular calcification, the implantation of a 26-mm Edwards SAPIEN (Edwards Lifesciences, Irvine, California, United States) valve in aortic position was primary successful, with no paravalvular leakage, valve instability, or coronary m...
Source: The Thoracic and Cardiovascular Surgeon - November 20, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Haldenwang PL, Bechtel M, Schlömicher M, Lindstaedt M, Strauch JT Tags: Thorac Cardiovasc Surg Source Type: research

Simple and Controlled Method to Avoid Hyperperfusion of the Right Arm Following Axillary Artery Cannulation for Extracorporeal Membrane Oxygenator Support.
We describe herein a simple yet effective and controlled technique to avoid this particular problem. PMID: 23169105 [PubMed - as supplied by publisher]
Source: The Thoracic and Cardiovascular Surgeon - November 20, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Papadopoulos N, Ahmad AE, Marinos S, Moritz A, Zierer A Tags: Thorac Cardiovasc Surg Source Type: research

Left Atrial Radiofrequency Ablation Associated with Valve Surgery: Midterm Outcomes.
Conclusions Left atrial Maze procedure for p-AF offers better chances to conversion in sinus rhythm as compared with long-standing c-AF. Survival, functional status, and quality of life are superior in patients who benefit from sinus rhythm. PMID: 23169106 [PubMed - as supplied by publisher]
Source: The Thoracic and Cardiovascular Surgeon - November 20, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Nardi P, Mvondo CM, Scafuri A, Pellegrino A, D'Auria F, Polisca P, Zeitani J, Chiariello L Tags: Thorac Cardiovasc Surg Source Type: research

Risk Factors Predicting the Successful Function and Use of Autogenous Arteriovenous Fistulae for Hemodialysis.
Conclusion Intraoperative ultrasound transit-time flow measurements gained at surgery and postoperative follow-up with DUS can help identify AVFs that are unlikely to function and therefore need early intervention. PMID: 23169107 [PubMed - as supplied by publisher]
Source: The Thoracic and Cardiovascular Surgeon - November 20, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Usta E, Elkrinawi R, Salehi-Gilani S, Adili S, Sonnentag T, Alscher M, Artunc F, Franke U Tags: Thorac Cardiovasc Surg Source Type: research

Can Start-Ups Finish Up? [Editorials]
Source: Circulation: Cardiovascular Quality and Outcomes - November 20, 2012 Category: Cardiology Authors: Simonton, C. A. Tags: Health policy and outcome research, Information technology, Catheter-based coronary interventions: stents, CV surgery: coronary artery disease, Coronary circulation Editorials Source Type: research

How I do it -- sole innominate cannulation for acute type A aortic dissection
We describe sole direct innominate cannulation for arterial return for establishing both cardiopulmonary bypass and selective antegrade cerebral perfusion in the repair of acute type A dissection and compare it with femoral, axillary, direct aortic and apical cannulations. We believe innominate cannulation has all the advantages of right axillary cannulation and none of its disadvantages. It can be used in all patients in whom innominate artery is not dissected, obstructed, calcified or otherwise diseased.
Source: Journal of Cardiothoracic Surgery - November 20, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Pankaj Kaul Source Type: research